<div class="layuimini-container">
  <form id="app-form" class="layui-form layuimini-form">
    <div class="layui-form-item">
      <label class="layui-form-label">会员卡名称</label>
      <div class="layui-input-block">
        <input type="text" name="title" class="layui-input" disabled  value="{$card.title}">
      </div>
    </div>
    <div class="layui-form-item">
      <label class="layui-form-label">商品名称</label>
      <div class="layui-input-block">
          <input type="text" class="layui-input" disabled  value="{$goods.title}">
      </div>
    </div>
    <div class="layui-form-item">
      <label class="layui-form-label">选择商品</label>
      <div class="layui-input-block" id="demo1">

      </div>
    </div>

    <div class="layui-form-item">
      <label class="layui-form-label">商品价格</label>
      <div class="layui-input-block">
        <input type="hidden" name="goods_id" id="goodsids" value="{$goods.id}">
        <input type="hidden" name="card_id"  value="{$card.id|default=0}">
        <input type="number" name="price" class="layui-input" placeholder="请输入商品价格" value="{$row.price}">
      </div>
    </div>
    <div class="hr-line"></div>
    <div class="layui-form-item text-center">
      <button type="submit" class="layui-btn layui-btn-normal layui-btn-sm" lay-submit>确认</button>
      <button type="reset" class="layui-btn layui-btn-primary layui-btn-sm">重置</button>
    </div>

  </form>
</div>